We encourage our program participants to complete this short survey to provide feedback on our exercise groups, support groups, and education programs. We would also love to hear your ideas and suggestions for how we can improve!  Thank you, in advance, for your participation.
How did you learn about HAPS?

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* 1. How did you learn about HAPS?

How long have you been involved with HAPS? 

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* 2. How long have you been involved with HAPS? 

I am:

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* 3. I am:

What is your zip code?

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* 4. What is your zip code?

Please indicate which Therapeutic Exercise Group(s) and location(s) you attend and rate the quality of the program.

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* 5. Please indicate which Therapeutic Exercise Group(s) and location(s) you attend and rate the quality of the program.

  Poor Fair Average Good Excellent
BOXING - Metropolitan Multi-Service Center
DANCE - Houston Ballet Center for Dance
EXERCISE - Alvin Lutheran Church
EXERCISE - CHI St. Luke's Hospital – The Woodlands
EXERCISE - Crosspoint Church – Bellaire
EXERCISE - Encompass Rehab Hospital of Cypress
EXERCISE - First Baptist Church - Magnolia
EXERCISE - First United Methodist Church – Dickinson
EXERCISE - First United Methodist Church – Katy
EXERCISE - First United Methodist Church – Missouri City
EXERCISE - Gloria Dei Lutheran Church
EXERCISE - Kindred Hospital Bay Area - Pasadena
EXERCISE - Lakewood United Methodist Church
EXERCISE - Memorial Drive Presbyterian Church (Tuesday)
EXERCISE - Memorial Drive Presbyterian Church (Wednesday)
EXERCISE - Metropolitan Multi-Service Center
EXERCISE - Richard and Meg Weekley Community Center
EXERCISE - St. Andrew's Episcopal Church – Pearland
EXERCISE - Sugar Land Baptist Church
EXERCISE - The Luke Church – Humble
EXERCISE – The Woodlands United Methodist Church
MUSIC THERAPY - Crosspoint Church – Bellaire
MUSIC THERAPY - Living Word Lutheran Church – Katy
MUSIC THERAPY - Memorial Drive Presbyterian Church (Friday)
MUSIC THERAPY - Memorial Drive Presbyterian Church (Tuesday)
MUSIC THERAPY - Tomball United Methodist Church
SINGING - Houston Ballet Center for Dance
SPEECH - CHI St. Luke's Hospital – The Woodlands
SPEECH - First United Methodist Church – Katy
SPEECH - Kindred Hospital Bay Area – Pasadena
SPEECH - Memorial Drive Presbyterian Church
SPEECH - Sugar Land Baptist Church
SPEECH- John Wesley United Methodist Church
SPEECH- Post Acute Medical Rehab Hospital – Webster
TAI CHI - Faith United Methodist Church – Richmond
TAI CHI - Memorial Drive Presbyterian Church
TAI CHI - Metropolitan Multi-Service Center
TAI CHI - St. Martin’s Lutheran Church – Sugar Land
TAI CHI - Tomball United Methodist Church
TAI CHI - Tracy Gee Community Center
TANGO - Metropolitan Multi-Service Center
WATER EXERCISE - Bay Area Rehabilitation Center – Baytown
WATER EXERCISE - Mansion Villas – Conroe
Please indicate which Support Group(s) and location(s) you attend and rate the quality of the program.

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* 6. Please indicate which Support Group(s) and location(s) you attend and rate the quality of the program.

  Poor Fair Average Good Excellent
ATYPICAL PARKINSON'S - American Red Cross
CAREGIVER - PD & DEMENTIA/LEWY BODY – American Red Cross
CAREGIVER CENTRAL - Memorial Drive Presbyterian Church
CAREGIVER CHAMPIONS - John Wesley United Methodist Church
CAREGIVER CLEAR LAKE - Gloria Dei Lutheran Church
CAREGIVER SUGAR LAND - Sugar Land Baptist Church
CAREGIVER THE WOODLANDS – The Woodlands United Methodist Church
NEWLY DIAGNOSED – American Red Cross
PATIENT ONLY - The Woodlands United Methodist Church
PD CENTRAL AM - American Red Cross
PD CENTRAL PM - American Red Cross
PD CHAMPIONS - John Wesley United Methodist Church
PD KATY- Memorial Hermann Hospital
PD KINGWOOD - Kingwood United Methodist Church
PD MAGNOLIA - First Baptist Church
PD PEARLAND - St. Andrew’s Episcopal Church
PD SUGAR LAND - Houston Methodist Sugar Land Hospital
PD WILLOWBROOK - Methodist Willowbrook Hospital
Please indicate which Education/Enrichment/Social Program group(s) you attend and rate the quality of the program.

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* 7. Please indicate which Education/Enrichment/Social Program group(s) you attend and rate the quality of the program.

  Poor Fair Average Good Excellent
Holiday Sing Along (2017)
Summer Lecture Series (2018)
Parkinson's Awareness Month Bingo Event (2018)
PD 101 - Newly Diagnosed Education Program
Caregiver Wellness Program - Sugar land
If you are not attending HAPS support or exercise groups, why? (Check all that apply.)

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* 8. If you are not attending HAPS support or exercise groups, why? (Check all that apply.)

If you are not attending HAPS education programs, why? (Check all that apply.)

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* 9. If you are not attending HAPS education programs, why? (Check all that apply.)

Do HAPS services or programs improve your quality of life?

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* 10. Do HAPS services or programs improve your quality of life?

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